This study was to identify major risk factors associated with secondary traumatic stress in a sample of 654 public social welfare specialists. Findings indicated that 69.0% of the subjects experienced secondary traumatic stress, and 36.9% of them were in a high-risk group. Multiple regression analysis showed that the risk of the secondary traumatic stress was associated with gender, work hours, physical violence and threats from clients, coping strategies, and vocational self-efficacy. Based on these results, several interventions for preventing the incidence of secondary traumatic stress among public social welfare specialists are suggested as the follows: construction of secure job environment, development of educational programs for improving vocational self-efficacy and coping skills, and implementation of mental health screening system on a regular basis to prevent the outbreak of mental disease among the workers.
Kim, Hee Girl;Lee, Ryoun-Sook;Jang, Soong-Nang;Kim, Kwang Byung;Chin, Young Ran
Research in Community and Public Health Nursing
/
v.29
no.3
/
pp.267-278
/
2018
Purpose: This study is to investigate working conditions including job stress among visiting nurses in public health centers in Korea. Methods: An social network based mobile survey was conducted in May 2017 (N=936, response rate: 47.0%). Results: The visiting nurses in this study had their average total career as a nurse is 13.7 years. The 68.3% of them were employed in an indefinite term, 17.0% were hired in a fixed term, and 11.0% came from outsourcing. They responded as high job-stress level including inadequate compensation (71.22/100) and job demands (71.91/100). They experienced down-talk (63.4%), swearwords (32.9%), being made a dirty face (39.9%), sexual jokes (30.8%), or being likened or evaluated with their appearance sexually (14.3%). Among the causes of job related conflicts and discrimination, deprived salary level was the most frequent reason (83.4%). The conflicts and discrimination were incurred by government officers (52.4%). There were no significant differences in overall job stress, emotional labor, organizational commitment, violence, and discrimination experience based on their employment types. Conclusion: The differences in working conditions among the non-regular nurses were trivial, and their overall working conditions were poor. It is necessary to improve non-regular nurses' working conditions in order to make up the limitations of the Korean healthcare system which is centered on hospitals.
Purpose: The purpose of this study was to investigate the influences of job insecurity on job related depression and anxiety in large- and small-sized company employees. Methods: Data of the third Korean Working Condition Survey in 2011 were used. Subjects were 2,050 large-sized company employees and 18,924 small-sized company workers. $x^2$ test and multiple logistic regression using SAS 9.2 were conducted. Results: Large- and small-sized company employees showed significant differences in terms of demographic, health-related, and job-related characteristics. From the bivariate analysis, gender, income, self-rated health, occupation, working hours per week, job-related stress, workplace violence, and job insecurity were significantly related to job-related depression/anxiety in large-sized company employees. From the multivariate analysis, higher income (AOR: 0.22, 95%CI: 0.07~0.71), better health perception (AOR: 0.05, 95%CL: 0.01~0.18), 40 or more working hours per week (AOR: 0.20, 95%CI: 0.05~0.79) showed lower risk for job-related depression/anxiety. From the bivariate and multivariate analysis, better health perception (AOR: 0.32, 95%CI: 0.20~0.53), higher job-related stress (AOR: 2.57, 95%CI: 1.68~3.93, workplace violence experience (AOR: 4.26; 95%CI: 2.88~6.30), and job insecurity experience (AOR: 1.90, 95%CI: 1.18~3.05) were significantly related to job-related depression/anxiety in small-sized company employees. Conclusion: Results of this study suggest that job insecurity experience was significantly related to job-related depression/anxiety in small-sized company employees but not in large-sized company employees. Therefore, small-sized company workers who have experienced feeling of job insecurity are vulnerable population in terms of job-related depression/anxiety.
Purpose: This study was executed to investigate the route of the sexual knowledge acquisition and the sexual problem behavior of primary school students in a region. Method: The subjects of this research who were primary school 5, 6 grade students of 990 people were chosen at random in big cities, small towns and rural areas in Jeonbuk province. Result: The route of the sexual knowledge acquisition was through taking lesson & teacher in the school(40.6%), the peer group or senior member(26.1%), internet(15.3%), parents(10.0%), and multimedia(8.0%). The domain of the sexual problem behavior showed sexual impulse 3.8%, sexual violence 3.7%, masturbation 2.7%, voyeur 1.8%, prostitution 0.8%, transvestism 0.5%, exhibitionism 0.1%. The sexual problem behavior experienced by 5.0% or more of the subjects showed the experience of another person's compulsory touching on their body, the embrace desire and the kiss desire with opposite sexual friend. And the biggest sexual problem behavior of the subjects was sexual violence and sexual impulse to opposite sexual friend. The experience rate of the 6 grade was higher than that of the 5 grade (p<.05) and the male students' experience rate of another person's compulsory touching on their body showed higher than that of the female students(p<.05). Conclusion: The author through these findings suggests that systematic programs and curriculum should be developed for sexual problem behavior prevention.
This study was to find out the effect of emotional maltreatment by parents on revictimization of emotional maltreatment by peers targeting second-year students of middle school with depression and social withdrawal as mediating variables. To this end, those who experienced physical violence by parents or friends were excepted from panel data collected by National Youth Policy Institute (KCYPS) and data of 752 people who experienced emotional maltreatment by parents or peers were analyzed. Research hypotheses were verified by a utilizing structural equation model. The results can be summarized as follows: First, experiencing emotional maltreatment by parents has a direct impact on depression and social withdrawal. Second, it was found that depression has a direct impact on experiencing emotional maltreatment by peers while social withdrawal is significant in an indirect path affecting with depression as a mediating variable. Third, the multiple mediated effects of depression and social withdrawal were significant in the revictimization relationship between emotional maltreatment by parents and emotional maltreatment by peers. This means that emotional maltreatment by parents becomes a predictor in re-experiencing emotional maltreatment by peers. It also means that emotional maltreatment by parents has an indirect effect through psychological and emotional factors such as depression and social withdrawal rather than having a direct effect. Based on the results of this study, limitations of the study and suggestions for future research were discussed.
The purpose of this study was to examine if there was difference of psychological well-being in mid adulthood on experience of life events and social support in pre-adulthood and the effects of life events and social support in pre-adulthood on psychological well-being in mid adulthood fromlife course perspective. The data came from 511 mid-life adults aged from 40 to 59. The main results were as follows: (1) middle aged who were experienced life events concerning school, parent, violence, and death in pre-adulthood showed lower psychological well-being than those who didn't experience life events in pre-adulthood. Psychological well-being of middle aged who received social support in emotional, material, and informational area in pre-adulthood was higher than one of the whom didn't receive social support in pre-adulthood. (2) the experienced life events concerning parent, violence, and death in pre-adulthood effect on psychological well-being in mid adulthood. Also, the received emotional support and informational support in pre-adulthood influence on psychological well-being in mid adulthood. And there were adjusting effects of life events concerning parent and received informational support in pre-adulthood on the psychological well-being in mid adulthood. These findings support life course perspective that past experiences have cumulative and interconnected effect and the individual life was closely connected with other people having meaningful relationships. Also, the intervention on psychological well-being requires not only prevent life events but augment social support that can protect after experience of life events. The intervention should suggest suitable and specific method on life events.
This paper reviews battering, sexual violence and divorce experienced among women. There three problems have negative influence on health status in women and are further developed to social problems such as family dissolution. The victims of the problems may manifest physical injury, emotional difficulties and social withdrawl, while their children may show problems caused by lack of parental caring and by resembling abusive behaviors of their parents. Hence, nurses need to pay attention to batting, sexual violence, and divorce and to develop relevant nursing interventions for them. Some strategies of dealing with those problems are presented in the following. First, we have to eliminate sexism prevailing in out society. Our society is assigning inequal and asymmetrical gender role. Mass media should inspire equality between genders and show a healthy model of family and community. Second, social system and laws should be changed through collective efforts. Those living conditions of women cannot be changed by the effort of women themselves only. We all need to work for establishing and changing the law, so that those women in suffering can obtain immediate and adequate protection. Third, social support system of consulting and referring women's problems should be established. Such support system as hot line, shelter and counseling clinics would help women in crisis. Fourth, job training and arrangement should be available to women who are divorced. Fifth, there should be self-help group for those women in suffering. Self-help group would help those women in sharing their problems and feelings and in establishing coping strategies. Nurses, as the largest group among health professionals, are sensitive and respond to health needs of clients and have an effect on managing women's health. However, we nurses have not been ready for dealing with problems of women, although most of us are women. we not need to change our perspective of women's health problems from a traditional medical perspective to feministic one. Accordingly, nurses need to develop realistic way of caring those women in suffering and to assist them in making decisions for their lives by themselves.
The purpose of this study is to develop an effective intervention strategy for marriage migrant woman in family therapy. For this purpose, we collected counseling cases of professional counselors who successfully completed counseling and attempted the qualitative analysis of treatment intervention strategies and effects. The results of the study were obtained by dividing the meaning units in the immigrant woman's statements made during the counseling process composed of a total of 6 sessions. The counselors were analyzed to have tried the following intervention strategies. They attempted the following six strategies: Helping emotional differentiation by searching for unresolved emotional problems, dealing with undifferentiation due to family projection process and love triangle, dealing with multi-generational transfer process of the original family relationship patterns and coping mechanism, shedding lihgt on ineffectiveness of inconsistent communication due to emotional oppression applying a communication model of MRI, switching client's awareness through reorganization, suggesting a way of communication that leads to real self. Such counselors' attempts resulted in positive changes and treatment effects were found to include first, cognitive insights and motivation for change, second, improved communication skills and third, anxiety reduction and self-differentiation. Due to their husbands' refusal to participate in counseling, marriage migrant women often get involved in counseling alone, so they tend to worry that the effectiveness of family therapy may be low but it was found that the proper intervention of the counselor could improve the ability of the wife to resolve conflicts, which would be a great help in solving problems such as family violence and this study is meaningful in that it provided the appropriate therapeutic intervention strategies needed.
The purpose of this study is to find out methods to control, regulate and prevent sexual violence and provide guidelines for sex education in middle school. This study was conducted to examine factors in relation to sexuality, attitudes toward women, experience of sexual contact, frequencies and kinds of pornography with which they had contact, and sex education. For the data collection, a survey was conducted from September 25 to October 1, 1997 by using prepared questionnaires. Questionnaires were given to 503 students from three different kinds of middle schools in Seoul, Boys, Girls, and Coeducation schools. The data analyses used a PC-SAS. Each item was examined by frequencies and percentage. To compare Boys with Girls, I applied a T-test. In addition, with the kinds of school type, I applied anANOVA, ${\chi}^2$. Moreover, For investigating and analyzing each category, I categorized knowledge and attitude of sexuality, with precautionary measures of sexual violence. After that I applied T-test, ANOVA, and a Pearson's correlation for each category. The instruments of this study consisted of 9 domains. (1) General characteristics of the respondents (2) 9 questions about the interaction between he/she and his/her parent. (3) 12 questions, concerning A Scale for Attitudes of Adolescents Toward women(AWSA). (4) 26 questions related to sexual knowledge. (5) 25 questions about sexual attitude (6) strategies for prevention of sexual violence-33 questions (7) 5 questions related to sexual behavior (8) the experience of contact with pronography. (9) the experience of sex-education. The major results were summarized as follows; 1. Like many researches, This study shows that the girls are more eqalitarian than boys. The girls mean ($40.90{\pm}3.67$) is significantly higher than boys ($34.72{\pm}3.77$). Most Koreans have believed that there are many differences between men's roles and women's ones, because of confucianism which had been implied in most thought and ideas since the Lee dynasty. Therefore, the result is not surprising at all. 2. Most students answered correctly the questions of sexual knowledge. The girl's score was higher ($Mean{\pm}SD$ : $48.88{\pm}2.39$) than the boys' ($Mean{\pm}SD$ : $46.95{\pm}3.90$)(p 0.001). Nevertheless, the hypothesis that sexual knowledge influences sexual attitude and its behavior was rejected. 3. When twenty-five questions were asked about sexual attitude, the girl students investigated were found to have a more propre sexual attitude than that of the boys. A significant difference was found between boys and girls(p=0.001). The result shows that a person who has more experience in viewing pornography and who smokes will have a more distorted view of sexuality. 4. There are many students who have experienced of sexual contact. They need to take a sex education program about contraception and prevention of sexually transmitted diseases. Systematic and concrete sex education is one way to lead them to proper sexual behavior. 5. Most respondents rejected stereotyped attitudes towards women. Boys, however, were more likely to accept stereotypes of Women. The girl's mean($Mean{\pm}SD$ : $40.90{\pm}3.67$) is higher than the boys($Mean{\pm}SD$ : $34.72{\pm}3.77$)(p=0.0001). 6. Many boys ignored the rules for prevention of sexual violence. A boy or a girl who has more experience of sexual contact over kiss and sex-typed neglected the rules, too(p=0.001). Today, there is increasing juvenile delinquency related to sexuality. This study provided the basic material for a preventive education system. I believe that a systematic and concrete sex education system can be helpful for adolescents and promote their responsibility as well as cultivate morality about sexuality. As a result, juvenile delinquency can be decreased. This study is basically aimed to provide information for a prevenative education system of sexual violence. Further research is recommended to evaluate programs in schools.
This study aimed to understand the meaning and essence of trauma accidents that North Korean Defectors experienced while escaping from North Korea. We approached with phenomenological method, and the study targets were 7 North Korean Defectors who underwent trauma such as torture, fear, violence, starvation and disease in the course of escaping from North Korea. As a result, we found that the trauma of participants is linked to the present after years while categorizing 6 theme clusters into 'struggle in the border of life and death', and 'difference between being left alive and living'. The image and memory imprinted in the mind of participants from the trauma accident has continued for years and is related with their daily life in South Korea. In this study, we could realize that some elements which had been thought to be negative features of North Korean Defectors are unavoidable extraordinary nature of people who experienced trauma.
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